| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.98 | $30.98 | $38.72 | |
Moda Health
| Facility | $13.61 | $24.89 | $80.00 | |
Moda Health
| Professional | $2,046.92 | $2,046.92 | $2,046.92 | |
Providence
| Facility | $13.61 | $17.64 | $37.34 | |
Providence
| Professional | $2,046.92 | $2,046.92 | $2,046.92 |